Operating Instructions
710 Pages
Preview
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System Manual Operating Instructions MR
MAGNETOM Sonata
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Version syngo MR 2002B
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Siemens Med MR syngo MR 2002B TAG
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Manufacturer's notes:
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This product bears a CE marking in accordance with the provisions of regulation 93/42/EEC of June 14, 1993 for medical products. 0.0
The CE marking applies only to medico-technical products/medical products introduced in connection with the above-mentioned comprehensive EC regulation. 0.0
The original language of this document is German.
Siemens AG 2002 All Rights Reserved
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Siemens AG, Medical Solutions, Magnetic Resonance Division Henkestraße 127, D-91052 Erlangen, Germany Company Headquarters: Berlin and Munich Siemens AG, Wittelsbacher Platz 2, D-80333 München, Germany Print no. M3-020.621.18.01.02 Printed in the Federal Republic of Germany EnglischDeutsch
AG 06.02
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MAGNETOM Sonata
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Safety
A
MR system
B
Body Coil
C
Physiological imaging
D
Preparing the examination
E
RF coils in general
F
Examination using Array coils
G
Examination using Flex coils
H
Examination using Transceiver coils
I
Quality assurance
J
Documentation
K
Accessories
L
Maintenance
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Technical data
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Index
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mmmmm Table of contents
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A Safety A.1
General safety information
A.2
Personal safety information
A.3
Device-related safety information
B MR system B.1
Purpose
B.2
MR system components
B.3
MR console
B.4
3D SpaceMouse (option)
B.5
Patient table
B.6
Removable tabletop with trolley (option)
B.7
Video system (option)
B.8
Intercom
B.9
In-Room MRC (option)
B.10
3D SpaceMouse In-Room (option)
B.11
Vacuum cushions (option)
B.12
Footswitch (option)
B.13
Daily functionality checks
B.14
MR system operation
C Body Coil C.1
Body Coil
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D Physiological imaging D.1
Retrospective gating
D.2
Physiological Measurement Unit (option)
D.3
Operating the Physiological Measurement Unit
D.4
Physiological Display dialog window
D.5
ECG triggering
D.6
Performing ECG triggering
D.7
ECG triggering using active ECG electrodes (option)
D.8
Performing ECG triggering using active ECG electrodes
D.9
Pulse triggering
D.10
Performing pulse triggering
D.11
Respiratory triggering
D.12
Performing respiratory triggering
D.13
External triggering
D.14
Performing external triggering
E Preparing the examination E.1
Physiological effects
E.2
Operating the trolley and removable tabletop
E.3
Patient transport trolley operation
E.4
Monitor operation
E.5
Settings at the video monitor
E.6
Operating the intercom
E.7
Operating the 3D SpaceMouse
E.8
Operating the 3D SpaceMouse In-Room
E.9
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E.10
Using the vacuum cushions
E.11
MR measurement using the footswitch
E.12
Preparing the MR examination
E.13
Patient positioning
E.14
Operating the patient table
F RF coils in general F.1
RF coils in general
G Examination using Array coils G.1
Overview of Array coils
G.2
CP Head Array
G.3
CP Neck Array (option)
G.4
Double Loop Array (DLA) (option)
G.5
CP Spine Array
G.6
CP Body Array (option)
G.7
CP Body Array Flex (option)
G.8
CP Body Array Extender (option)
G.9
CP Peripheral Angio Array (option)
G.10 Connecting the Large Field of View adapter G.11 CP Breast Array (option) G.12 Shoulder Array (option) G.13 8 Channel Head Array (option)
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H Examination using Flex coils H.1
Overview of Flex coils
H.2
Connecting the Flex coil interface
H.3
CP Flex Small
H.4
CP Flex Large
H.5
Flex Loop Small
H.6
Flex Loop Large
H.7
Endorectal coil (option)
I Examination using Transceiver coils I.1
Overview of transceiver coils
I.2
CP Extremity (option)
I.3
Heart/Liver 31P (option)
J Quality assurance J.1
Quality of the RF coils
J.2
Phantom fluid spills
J.3
Performing quality assurance (software)
K Documentation K.1
Recording data
K.2
Reading data
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L Accessories L.1
Accessories for patient positioning
L.2
Accessories for quality assurance
L.3
Large Field of View adapter
M Maintenance M.1
Cleaning
M.2
Return and disposal
N Technical data N.1
MAGNETOM Sonata
N.2
Physiological Measurement Unit (PMU)
O Index
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MAGNETOM Sonata
Notes regarding this manual MAGNETOM Sonata manuals The multi-volume operating manual for the MAGNETOM Sonata MR system includes the following manuals:
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❏ User Manual ❏ System Manual ❏ Application Manual ❏ Argus Manual ❏ syngo MR Manual ❏ Spectroscopy Manual In addition, the following supplemental documents are available:
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❏ syngo MR Quick Guide ❏ MR Glossary ❏ Supplemental document for quality assurance
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Notes regarding this manual
Release notes Revision 01
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The CP Body Array Flex and the CP Body Array Extender are distributed with software version VA12A.
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All combined measurements are illustrated using the CP Body Array Flex.
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If your system includes the CP Body Array, all combined measurements have to be performed as described for the CP Body Array Flex. Ignore the information regarding the CP Body Array Extender.
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If your system includes the CP Body Array Flex (and the CP Body Array Extender), ignore the information regarding the CP Body Array.
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Chapters D.3 (Using Array Coils) and F.2 (Positioning Phantoms with Coils) describe the CP Body Array, the CP Body Array Flex
, and the CP Body Array Extender.
Revision 02
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Revision number 02 includes the following changes:
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❏ Safety information updated ❏ "Large Field of View adapter" chapter added ❏ Nose loop of the CP Neck Array can no longer be removed ❏ Changes to "MR system components" chapter ❏ Changes to "Technical data" chapter ❏ Lordosis cushion added to the "Accessories for patient positioning" chapter
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Notes regarding this manual
❏ Emergency precautions added to the "Personal safety information" chapter ❏ Preparations for quality assurance are described in a separate supplemental document for quality assurance
Revision 03
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The MR system is available in several new designs (colors, surfaces, and shapes). While the graphics of the main views in the documentation have been modified accordingly, the background graphics in the coil chapters remain the same. 0.0
The graphics in the documents on the CD do not reflect these new designs.
Revision 04
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Revision number 04 includes the following changes:
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❏ Restructuring: The "Examination" chapter has been divided into chapters "Examination using Array coils," "Examination using Flex coils," and "Examination using Transceiver coils." In these chapters, the usage sections are now preceded by the corresponding descriptive sections from the coil chapters. The coil chapters have been reorganized. ❏ RF reflector added to "CP Head Array" section ❏ "8 Channel Head Array" section added to "Examination using Array coils" chapter ❏ "Heart/Liver 31P" section added to "Examination using Transceiver coils" chapter ❏ "Accessories" chapter updated with new coil accessories for the RF coils mentioned above
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Notes regarding this manual
❏ "Magellan/Spacemouse" renamed "3D SpaceMouse." Corresponding chapters "Magellan/Spacemouse," "Operating the Magellan/Spacemouse" modified. ❏ New: Chapter "3D SpaceMouse In-Room" added. Corresponding chapters "In-Room MRC (option)", "Operating the In-Room MRC" modified.
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Notes regarding this manual
Structure of this manual This manual is structured as follows:
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❏ General safety information ❏ Description of the individual MR system components ❏ Operating instructions for the individual MR system components ❏ Technical data of the MR system
General safety information
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This chapter contains all general, personal, and device-related safety information.
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Descriptions of the individual MR system components These sections of the manual contain descriptions of the individual MR system components.
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You will find information regarding characteristics, design, use, and functionality of the individual components.
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Operating instructions for the individual MR system components
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These sections of the manual contain user instructions for performing single or complex tasks in connection with the individual MR system components.
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Technical data of the MR system This section contains the technical data for the MR system.
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PART
A
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Safety A.0
A.1 General safety information Overview
A.1-1 A.1-1
Structure of the warning notices
A.1-2
Legal regulations
A.1-3
Technical safety checks
A.1-5
Regular maintenance
A.1-6
Product safety
A.1-7
System-related artifacts
A.1-9
A.2 Personal safety information
A.2-1
Overview
A.2-1
Emergency precautions
A.2-4
Safety measures in the examination room
A.2-5
Emergency shut-down switch
A.2-7
Emergency shut-down switch (electrical system without magnet) A.2-8 Table Stop button
A.2-9
Magnet Stop switch (magnetic field)
A.2-12
Hazards inside the magnetic field
A.2-17
Attraction of ferromagnetic materials
A.2-18
Magnetic effects on metallic implants/inclusions
A.2-19
Malfunctions of devices/implants susceptible to magnetic effects A.2-21 Hazards relating to low and radio frequency fields Hazards associated with coolants
A.2-22 A.2-26
Refilling helium
A.2-27
Safety measures in the event of helium accidents
A.2-29
Potential points of injury through mechanical components A.2-31 0.0
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Fire safety
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Patient monitoring
A.2-34
Physiological patient monitoring
A.2-34
Acoustic patient monitoring
A.2-35
Risks due to monitoring devices
A.2-37
Laser light localizer
A.2-39
Warning signs and labels Accidents involving MR measurement phantoms
A.3 Device-related safety information
A.2-40 A.2-43
A.3-1
Overview
A.3-1
Effects of the magnetic field on devices
A.3-2
Effects of the RF field on devices
A.3-5
Ambient conditions
A.3-6
System-specific signs
A.3-7
Warning signs
A.3-8
Prohibition signs
A.3-9
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CHAPTER
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A.1
General safety information
Overview
A.1
Proper, safe operation of the MR system requires technical knowledge on the part of the operating personnel and a high degree of familiarity with the operating instructions. Read these operating instructions carefully prior to the start-up of the MR system.
A.1
References to “ Siemens Service” include service personnel authorized by Siemens. The following general safety information must be strictly adhered to:
A.1
A.1
❏ Legal regulations ❏ Technical safety checks ❏ Regular maintenance ❏ Product safety ❏ System-related artifacts Warning and safety notices
A.1
Warning and safety notices are especially labeled as such; verbal signals indicate the level of risk: A.1
WARNING
A.1
CAUTION
A.1
Warning regarding risks that may result in death or serious physical injury.
A.1
Warning regarding risks that may result in minor physical injury or material damage.
A.1
B
A
i
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Information regarding the optimal use of the MR system.
Information provided to facilitate tasks for the user.
A.1
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General safety information
Safety
Structure of the warning notices
A.1
WARNING Source of danger! A.1
Consequences
A.1
A.1
✧ Countermeasure.
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